came from the RCPCH - supported by the RCN Children and Young Adult Nursing group - neither feasible/desirable/essential - in my humble opinion an ED nurse with paed experience has as much place caring for sick kids as anyone else
jim
________________________________________
From: Accident and Emergency Academic List [[log in to unmask]] on behalf of ACAD-AE-MED automatic digest system [[log in to unmask]]
Sent: 28 June 2014 00:02
To: [log in to unmask]
Subject: ACAD-AE-MED Digest - 26 Jun 2014 to 27 Jun 2014 (#2014-17)
There are 4 messages totaling 638 lines in this issue.
Topics of the day:
1. CQC (4)
----------------------------------------------------------------------
Date: Fri, 27 Jun 2014 11:05:14 +0100
From: Richard Bailey <[log in to unmask]>
Subject: Re: CQC
Probably none Ray - we have 1 children's trained nurse in total and have failed to recruit more despite several attempts. We're hoping to establish a children's assessment unit in ED when we redevelop the department in 2 years time staffed by paediatric and ED nurses so that should go a long way to resolving the issue. Not sure where the recommendation comes from
BW Bill
Sent from my iPhone
> On 26 Jun 2014, at 18:09, Ray McGlone <[log in to unmask]> wrote:
>
> We had a "Good" report from a recent CQC report but one point they stressed was the lack of a 24/7 paediatric nurse
>
> How many departments with no separate paediatric unit actually have 24/7 paediatric nurses? Most small to moderate sized general EM departments seem to have difficulty retaining them as they get deskilled.
>
> Having worked nights recently in my own dept I didn't see many children at 0200 hrs.
>
> Does this standard come from the College or another body?
>
> Ray McGlone
> Lancaster
------------------------------
Date: Fri, 27 Jun 2014 10:08:36 +0000
From: "McCormick Simon Dr, Consultant, A&E" <[log in to unmask]>
Subject: Re: CQC
We can't manage it, despite having nearly 18,000 under 18 a year.
Not many want to come and work in the ED, those that do tend to wear out quite quickly (much more intense than on the ward) leave.
Few kids after midnight although the number of kids attending in the late evening, early night continues to rise and is spilling over to after midnight.
The bigger problem is the lack of medical expertise after midnight as many of our MGs are locums with variable experience/expertise. We've ended up making in mandatory to discuss ANY child under 3 months old at any time in the department with a consultant and when we are not in they must be discussed with the paediatric MG on-call. Just had too many errors made in this group.
Simon
"Hospitals with overcrowded Emergency Departments are overcrowded hospitals that have chosen to manifest the overcrowding in a single location"
Full Capacity protocol: an end to double standards in acute hospital care provision Emerg Med J 2011;28:547-549
________________________________
From: Accident and Emergency Academic List [mailto:[log in to unmask]] On Behalf Of Ray McGlone
Sent: 26 June 2014 18:10
To: [log in to unmask]
Subject: CQC
We had a "Good" report from a recent CQC report but one point they stressed was the lack of a 24/7 paediatric nurse
How many departments with no separate paediatric unit actually have 24/7 paediatric nurses? Most small to moderate sized general EM departments seem to have difficulty retaining them as they get deskilled.
Having worked nights recently in my own dept I didn't see many children at 0200 hrs.
Does this standard come from the College or another body?
Ray McGlone
Lancaster
------------------------------
This e-mail and any files that accompany it are intended only for the appropriate use of the addressee/s, and may contain information that is privileged, confidential or exempt from disclosure. If the reader is not an intended recipient, any disclosure, distribution or any action taken or omitted to be taken in reliance on it, is prohibited and may be unlawful.
If you have received this e-mail in error, please delete it from your system and notify the sender immediately. Any views or opinions presented do not necessarily represent those of the Trust. Any unauthorised disclosure of the information contained in this e-mail is strictly prohibited, as is use or application of its contents other than for its intended purpose . Neither Rotherham NHS Foundation Trust nor the sender accepts responsibility for viruses. It is your responsibility to scan the email and any attachments. ------------------------------
------------------------------
Date: Fri, 27 Jun 2014 13:14:02 +0100
From: Adrian <[log in to unmask]>
Subject: Re: CQC
I think the recommendation is from the RCPH, not CEM
Sent from my iPad
> On 27 Jun 2014, at 11:05, Richard Bailey <[log in to unmask]> wrote:
>
> Probably none Ray - we have 1 children's trained nurse in total and have failed to recruit more despite several attempts. We're hoping to establish a children's assessment unit in ED when we redevelop the department in 2 years time staffed by paediatric and ED nurses so that should go a long way to resolving the issue. Not sure where the recommendation comes from
>
> BW Bill
>
> Sent from my iPhone
>
>> On 26 Jun 2014, at 18:09, Ray McGlone <[log in to unmask]> wrote:
>>
>> We had a "Good" report from a recent CQC report but one point they stressed was the lack of a 24/7 paediatric nurse
>>
>> How many departments with no separate paediatric unit actually have 24/7 paediatric nurses? Most small to moderate sized general EM departments seem to have difficulty retaining them as they get deskilled.
>>
>> Having worked nights recently in my own dept I didn't see many children at 0200 hrs.
>>
>> Does this standard come from the College or another body?
>>
>> Ray McGlone
>> Lancaster
------------------------------
Date: Fri, 27 Jun 2014 12:24:33 -0700
From: Jel Coward <[log in to unmask]>
Subject: Re: CQC
I see many children in the practice every day
I see many children in the emerg dept most days
I do not have a paediatric nurse. I am not a paediatrician.
The kids get great care from our greatly skilled, true generalist,
nurses.....be that for minor illness or full-on resusc.
The opposite of a generalist is a partialist.....who would want one of
those? ;-)
....just sayin' ;-)
jel
On 26 June 2014 10:09, Ray McGlone <[log in to unmask]> wrote:
> We had a "Good" report from a recent CQC report but one point they
> stressed was the lack of a 24/7 paediatric nurse
>
>
>
> How many departments with no separate paediatric unit actually have 24/7
> paediatric nurses? Most small to moderate sized general EM departments seem
> to have difficulty retaining them as they get deskilled.
>
>
>
> Having worked nights recently in my own dept I didn't see many children at
> 0200 hrs.
>
>
>
> Does this standard come from the College or another body?
>
>
>
> Ray McGlone
>
> Lancaster
>
--
Jel Coward
Some Open-Source and Creative Commons interests.....
The CARE Course http://www.theCAREcourse.ca
Wilderness Medicine Twitter account <http://twitter.com/#%21/wemsiint>
WEMSI-International http://WEMSI-International.org
OSCAR open-source EMR http://OSCARcanada.org
------------------------------
End of ACAD-AE-MED Digest - 26 Jun 2014 to 27 Jun 2014 (#2014-17)
*****************************************************************--
Scanned by iCritical.
|